| NPI | 1467193987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 3978) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 18300) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-01-20 |